Tuesday, April 3, 2018

Extension on Filing Expression of Interest for Low Volume Appeals Initiative

Lilly Hummel

The Centers for Medicare and Medicaid Services (CMS) is extending the deadline to June 8, 2018 for submitting an expression of interest for the Low Volume Appeals (LVA) initiative. In November 2017, CMS announced a new LVA settlement option for providers with appeals pending at the Office of Medicare Hearings and Appeals (OMHA) and the Medicare Appeals Council. Since November, CMS has held open calls to describe the initiative and issued an FAQ to answer questions. See CMS’ website for additional details about the LVA option: http://go.cms.gov/LVA.

LVA is potentially available to providers that have fewer than 500 Medicare Part A or Part B claim appeals pending at both OMHA and the Council, with a total billed amount of $9,000 or less per appeal, in addition to other conditions. CMS will settle eligible appeals at 62% of the net allowed amount. 

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